| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,414 |
1,241 |
$73K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
403 |
392 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
39 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
38 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
170 |
170 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$2K |
| 90670 |
|
25 |
25 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90686 |
|
17 |
16 |
$0.00 |